Individual provider Active NPI

Ralph Elijah Murray, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1629213848
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007123-1 Issued in NY
Practice address
390 E Fordham Rd
Bronx, NY 10458-5005
Phone
(718) 660-2020
NPI assigned
Dec 3, 2008
Reactivated
Jun 23, 2016
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007123-1 NY Primary

Addresses

Primary practice location

390 E Fordham Rd
Bronx, NY 10458-5005

Mailing address

390 E Fordham Rd
Bronx, NY 10458-5005
Phone (718) 660-2020

Other practice location 1

102 Graham Ave
Brooklyn, NY 11206-3334
Phone (718) 504-8660

Other practice location 2

334 9th St
Brooklyn, NY 11215-8129
Phone (718) 504-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000549 NY Practitioner - Optometry 4486606563 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care Center IncGroup PAC ID 7719394964, 2 clinicians

Practice addresses (Care Compare)

102 Graham Ave
Brooklyn, NY 11206-3334
Phone (718) 406-0478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007123-1NYMDOptometrist
007123NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center, Inc Optometrist CurrentSince Feb 1, 2021 Accepting new patients
4501 Nyc Optical LLC Optometrist CurrentSince May 19, 2024 Accepting new patients
Parkslope Eye Care, Inc Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Flatbush Eye Care Inc Optometrist CurrentSince Mar 4, 2022 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Aug 25, 2024 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Aug 25, 2024 Accepting new patients
Clearview Optical Past Accepting new patients
Ace Fashion Optical Inc. Past Accepting new patients

Locations

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

811 Southern Blvd
Bronx, NY 10459
Phone (347) 326-8999

1054 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 223-5707

1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526

4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171

5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1629213848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585005",
            "telephone_number": "718-660-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585005",
            "telephone_number": "718-660-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Graham Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112063334",
            "country_code": "US",
            "telephone_number": "718-504-8660",
            "fax_number": "718-504-8667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "334 9th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112158129",
            "country_code": "US",
            "telephone_number": "718-504-8660",
            "fax_number": "718-504-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "RALPH",
        "middle_name": "ELIJAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "deactivation_date": "2016-05-04",
        "reactivation_date": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007123-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.